Active NPI
Diane L Kistler, DO
- Family Medicine Physician
- New Hampton, NH
National Provider Identifier
1710958236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 10718
- Practice address
- 5 Academy Drive
New Hampton, NH 03256 - Phone
- (603) 744-5377
- Fax
- (603) 744-8165
- NPI assigned
- Feb 1, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 10718 | NH | Primary |
Addresses
Primary practice location
5 Academy Drive
New Hampton, NH 03256
Mailing address
PO Box 1327
Laconia, NH 03247-1327
Phone (603) 524-3211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30221276 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10718 | NH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Huggins Hospital | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710958236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1327",
"city": "LACONIA",
"state": "NH",
"postal_code": "032471327",
"telephone_number": "603-524-3211",
"fax_number": "603-527-7038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 ACADEMY DRIVE",
"city": "NEW HAMPTON",
"state": "NH",
"postal_code": "03256",
"telephone_number": "603-744-5377",
"fax_number": "603-744-8165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KISTLER",
"first_name": "DIANE",
"middle_name": "L",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NH",
"license": "10718",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30221276",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Hampton, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.